Overview
On December 6, 2024, Hawaii embarked on a groundbreaking journey in healthcare innovation with the launch of the Lokahi Healthcare Accelerator. This initiative, backed by substantial state, federal, and private sector support, represents a transformative approach to healthcare through AI-native solutions and unprecedented data access, becoming a national exemplar for health system modernization.
The Challenge
Hawaii faced critical healthcare challenges including:
Rising healthcare costs
Fragmented care delivery systems
Widening health disparities
Siloed and inaccessible healthcare data
Despite its progressive health policies, Hawaii lacked the unified infrastructure necessary to scale innovative solutions statewide and nationally
The Lokahi Initiative
Lokahi Healthcare Accelerator addresses these challenges by creating unparalleled access to anonymized and tokenized health data. Data sets include comprehensive claims data, EMRs, diagnostic and genetic information, pharmaceutical records, and public health registries. This data infrastructure provides robust support for AI-driven healthcare innovations.
Strategic Implementation
Key components of the Lokahi initiative include:
Data Access and Utilization
Anonymized and tokenized datasets covering claims, prescriptions (over 90% coverage), diagnostics, and genetic data.
Integrated data across Medicare, Medicaid, and commercial insurers.
Wide demographic and geographic representation.
Gamification through Hackathons
Initial AI-driven health solution prototyping.
3,348 global participants engaged.
135 development teams formed.
46 functional AI applications built.
AI Health Acceleration Program
Selected top teams from hackathons enter a dedicated acceleration program.
MVP development support.
Go-to-market strategy assistance.
Promotion of AI-native leadership in healthcare.
Funding and Support
Major Funding Sources
CMS AHEAD Program — $1.7 billion for All-Payer Health Equity Approaches and Development.
DHS MIX Program — $92 million for Medicaid Innovation and Xceleration infrastructure.
Partners and Leadership
Leadership under Dr. Jack Lewin, Administrator of Hawaii’s SHPDA, supported by:
State of Hawaii and Governor Josh Green.
Federal partners: CMS and DHS.
Commercial collaborators: ICON plc, WebShield, Tempus AI, Milliman, Amazon, EP3 Foundation, among others.
Strategic Advantages of Hawaii
Hawaii’s selection for this initiative was strategic due to:
Including the Hawaii Prepaid Health Care Act and integrated Medicaid managed care.
Historical Healthcare Innovations
Notably the All-Payer Claims Database (APCD).
Robust Data Infrastructure
Strong alignment with CMS objectives for value-based care by 2030.
National Healthcare Alignment
Expected Outcomes
Integration into an AI-driven marketplace, enhancing nationwide healthcare delivery, public safety, and research
Patient-Centric Care
Focused interventions targeting social determinants of health and underserved communities.
Enhanced Equity
Managing healthcare costs and improving care quality through advanced value-based models.
Financial Sustainability
Future Directions
Lokahi plans to:
Scale proven solutions statewide and nationally.
Prioritize underserved communities to embed equity by design.
Serve as a blueprint for nationwide healthcare transformation, promoting data-driven, AI-enabled healthcare reform.
Conclusion
Lokahi Healthcare Accelerator represents a pioneering shift towards AI-native healthcare, delivering substantial improvements in health equity, cost control, and patient outcomes. As Hawaii advances this visionary initiative, it sets a powerful precedent for nationwide adoption and sustained healthcare innovation.
“Join Hawaii’s healthcare revolution and be part of transforming healthcare for future generations.”